Quality Analyst - IPDRG Coding

Greetings from Savista!!

We are hiring Quality Analyst for IPDRG Coding.

JOB RESPONIBILITY

a. Quality Analysis responsibilities:

• To audit the medical coding chart within TAT basis regularly.
• To aware of internal & External quality percentage of respective projects.
• To aware of client updated up to date.
• To aware of quality percentage for Both Live & Schedule audit.
• Prioritize the Audit pending work and any other audit related work received from ops team.
• Escalated any difficulty process or deviation in quality to report management in a timely manner.
• To conduct quality Meeting daily/weekly and monthly.
• To aware of HIPPA compliance.
• To aware of company quality policies and client quality policies.
• To share quality report to ops team with timely.
• To provide proper education and feed back to coder in regular basis.
• To maintain the quality report

b. Performance Standards:

• The number of audit charges to analyze will meet or exceed departmental productivity and quality standards.
• To meet all KPI parameters in Quality department.

c. Client Policy and Procedure:

• Maintain an up-to-date personal folder containing updated quality reports documentation; policy e-mails; payer updates; minutes and handouts from monthly meetings; letter templates with file addresses.
• Consistently apply current policy and procedure to all Quality analysis.
• Advise management when additional policies may be needed to support analysis activities
• Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
• Any patient private health information (PHI) must not be divulged on any account except to payers that need the information to process the claim for payment.

CANDIDATE PROFILE

• Minimum 3 years of work experience in IP DRG. Value addition if they already worked in Quality department with relevant attributes and skills.
• Profound foundational knowledge in ICD-10 CM coding, PCS & physician query
• Should hold either CPC or COC or CCS certifications accredited by AAPC or AHIMA
• Strong anatomy & physiology knowledge
• Team player.
• Good Root Cause Analysis capabilities.
• Excel and MS Office skills.
• Excellent Communication & task orientation.
• Adaptability to work in different shifts, teams and roles.
• Disciplined and systematic approach to daily work.

Work mode: Work from Office.

Interested candidate share resume to [email removed] or reach us at [phone removed].

Regards,

TA - Team